FAMILIA DENTAL LUBBOCK PLLC (NPI# 1902126774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902126774 |
| Entity Type | Organization |
| Organization Name | FAMILIA DENTAL LUBBOCK PLLC |
| Other Organization Name | FAMILIA DENTAL |
| Practice Address |
2402 19th St Lubbock TX 79401-4414 |
| Mailing Address |
2000 E Algonquin Rd Suite 109 Schaumburg IL 60173-4189 |
| Practice Telephone | 8889884066 |
| Practice Fax Number | 8474967603 |
| Mailing Telephone | 8889884066 |
| Mailing Fax Number | 8474967603 |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |
| Authorized Official Name | DR. KOUSHAN H AZAD (PRESIDENT/OWNER) |
| Authorized Official Telephone | 8889884066 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22535 | TX | Dental Providers |
| Other Name | Type Code |
|---|---|
| FAMILIA DENTAL | Doing Business As Name - Organization |
| Street Address |
2402 19TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79401-4414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629613179 | Kinjal Patel | Dentist | 2402 19th St, Lubbock, TX 79401-4414 | 2019-11-07 |
| 1407333420 | Alan Robin Jossy D'souza | Dentist | 2402 19th St, Lubbock, TX 79401-4414 | 2018-07-23 |
| 1588150957 | Ligia Padilla | Dentist | 2402 19th St, Lubbock, TX 79401-4414 | 2018-07-09 |
| 1063935112 | Jin Heun Kim | Dentist | 2402 19th St, Lubbock, TX 79401-4414 | 2017-07-20 |
| 1497285423 | Andrew Jung | Dentist | 2402 19th St, Lubbock, TX 79401-4414 | 2017-06-13 |
| 1023492881 | Himanshu Mehrotra | Dentist | 2402 19th St, Lubbock, TX 79401-4414 | 2015-07-11 |
| 1487038246 | Garima Kala | Dentist | 2402 19th St, Lubbock, TX 79401-4414 | 2015-07-11 |
| 1699012294 | Michael Duke Seo | Dentist | 2402 19th St, Lubbock, TX 79401-4414 | 2013-01-16 |
| 1649525171 | Srikanth Papisetti | Dentist | 2402 19th St, Lubbock, TX 79401-4414 | 2012-07-20 |
| 1891040028 | Han Choi | Dentist | 2402 19th St, Lubbock, TX 79401-4414 | 2012-07-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740688837 | Cody Painter | Student in an Organized Health Care Education/Training Program | 43021 6th and Boston, Lubbock, TX 79401 | 2014-12-05 |
| 1730412511 | Chiara Eberhardt | Counselor | 1614 Ave K, Lubbock, TX 79401 | 2009-09-11 |
| 1528265535 | City of Lubbock | Clinic/Center | 80618th Street, Lubbock, TX 79401 | 2007-07-02 |
| 1184784084 | Cc Home Health of Lubbock LLC | Technician | 2118 Broadway Ave, Lubbock, TX 79401 | 2006-12-11 |
| 1003997768 | Charles Hudson | Family Medicine | Concord Medical Group, 1602 Avenue Q, Lubbock, TX 79401 | 2006-10-18 |
| 1003904376 | Thi of Texas At Lubbock II, LLC | Skilled Nursing Facility | 1401 9th Street, Lubbock, TX 79401 | 2006-10-11 |
| 1174514681 | United Supermarkets LLC | Pharmacy | 1610 5th St, Lubbock, TX 79401 | 2005-11-03 |
| 1669470332 | Jose A Suarez | Internal Medicine | 1655 Main St Ste 201, Lubbock, TX 79401 | 2005-07-07 |
| 1225696362 | Heather Leigh Robertson | Dietitian, Registered | 1628 19th St, Lubbock, TX 79401 | 2019-06-04 |
| 1912411091 | Josi Gwin | Speech-Language Pathologist | 1628 19th St, Lubbock, TX 79401 | 2017-11-28 |
| Find all providers in zip 79401 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710524426 | Maupin Endodontics & Microsurgery Pllc | Dentist | 6010 82nd St Ste 300, Lubbock, TX 79424-0822 | 2019-12-02 |
| 1730664798 | Dental Health Associates of Texas, PC | Dentist | 6102 82nd St Ste 1, Lubbock, TX 79424-0803 | 2018-09-26 |
| 1306347711 | 4th Street Dental, Pllc | Dentist | 5709 4th St, Lubbock, TX 79416 | 2018-02-22 |
| 1699288423 | Yellow House Dental & Implant Center, Pllc | Dentist | 2420 Quaker Ave Ste 104, Lubbock, TX 79410-1837 | 2017-11-15 |
| 1134674187 | Lauren Gates Fey | Dentist | 5607 Slide Rd # 200, #200, Lubbock, TX 79414-4104 | 2016-08-19 |
| 1336591692 | Abbeville Family Dentistry | Dentist | 3801 50th St Ste 13a, Lubbock, TX 79413-3859 | 2016-07-11 |
| 1457729394 | Mccasland Family Dental Too Pllc | Dentist | 7310 Slide Rd, Suite 102, Lubbock, TX 79424-2512 | 2015-09-09 |
| 1265847248 | Karissa Young | Dentist | 1318 Broadway Ste 5, Lubbock, TX 79401-3206 | 2014-06-27 |
| 1083913198 | Summer Celeste Ketron | Dentist | 5301 50th St Ste 100, Lubbock, TX 79414-5834 | 2011-03-15 |
| 1336371988 | Michael P Melanson | Dentist | 1923 Marsha Sharp Fwy, 103, Lubbock, TX 79415-4036 | 2009-08-17 |
| Find all providers in LUBBOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.